Head Start Program Information Report

Forms and Documents

Document Name	Status
Form 1 Contacts, Locations and Reportable Conditions Form and Instruction	Modified
Form 1 Monthly Enrollment Form and Instruction	Modified
Form 1 Head Start Program Information Report Form and Instruction	Modified
Supporting Statement (2).docx Supporting Statement A	2014-08-26

IC Document Collections

IC ID	Document Title	Status
198343	Contacts, Locations and Reportable Conditions Form and Instruction	Modified
198342	Monthly Enrollment Form and Instruction	Modified
10166	Head Start Program Information Report Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0427	ICR Reference No: 201407-0970-001
Status: Historical Active	Previous ICR Reference No: 201301-0970-010
Agency/Subagency: HHS/ACF	Agency Tracking No: HS PIR
Title: Head Start Program Information Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/29/2014
	Date Received in OIRA: 08/26/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	12/31/2014
Responses	27,358	0	24,580
Time Burden (Hours)	13,988	0	12,393
Cost Burden (Dollars)	0	0	0

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Abstract: The Head Start Act requires that actual population and services data be collected from Head Start and Early Head Start grantees and delegate agencies. PIR is the primary tool for collecting data in the areas of program management, services provided to children, and demographic data about enrolled children and their families. The principle users of the data include local program management, ACF Regional stall, and ACYF Central staff. The data is disseminated widely to other interested parties, including Congress, policy makers at the State level, Training and Tech Assistance providers, and researchers.

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Authorizing Statute(s): PL: Pub.L. 110 - 134 1 Name of Law: Head Start Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 31339	06/02/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 43750	07/28/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Contacts, Locations and Reportable Conditions	1, 1, 1	Contacts ,   Center Location ,   Reportable Conditions
Head Start Program Information Report	1	Program Information Report
Monthly Enrollment	1	Grantee Entrollment Screenshot from HSES

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	27,358	24,580	0	2,778	0	0
Annual Time Burden (Hours)	13,988	12,393	0	1,595	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: It's anticipated there will be an increase in the number of respondents due to the expansion of the Early Head Start Program

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Annual Cost to Federal Government: $785,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/26/2014

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